1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? correct answers The medication administration record and the
nursing assessment notes from the last shift indicate the patient's level of comfort.
1. Which information in a patient's medical record will help a nurse plan and manage the
patient's pain? correct answers Physician orders
1. A patient completes the course of treatment for tuberculosis and is ready to be discharged
home. Which instructions should be included in the patient's discharge education? correct
answers Importance of completing the medication prescribed.
1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on
auscultation. Which data set in the medical record informs the decision to implement the
ineffective airway clearance nursing care plan? correct answers The radiology report impression
indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.
1. The health administrator at a clinic observes an increase in the number of patients with a
complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic
health record (EHR) will provide a cross-reference to the impacted patient population? correct
answers Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? correct answers Graphical trending
1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles,
and persistent cough. Which data set in the medical record from the last shift informs the
decision to implement the fluid volume overload care plan? correct answers Nursing flowsheet
and intake and output record
,1. Which data set in the electronic health record (EHR) will assist in evaluating the number of
positive influenza tests at a facility within the past year? correct answers Laboratory records
1. Which patients are ideally positioned to fully engage in their care? correct answers Patients
that are recovering well after a full night of sleep.
1. A nurse is teaching a patient-centered health education course at a hospital. As an informatics
nurse leveraging technology to help improve patient understanding, which learner would be
more likely to have a low health literacy and require more focus? correct answers An elderly
person
1. What is true about improving health literacy? correct answers Improving health literacy leads
to better patient outcomes.
1. A nurse assists with implementing a new remote patient monitoring (RPM) system for
collecting patient data, which improves patient outcomes. Which task is a high priority for an
informatics clinician when implementing a new technology for patient data collection? correct
answers Identify and define the goal of the technology.
1. Patient use of technology has increased dramatically. While patients are more active in their
care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which
recommendation should the nurse give to ensure education is accurate? correct answers List
credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? correct answers Automated text or email reminders
1. Pharmacy adds a field into the medication administration record to document the lot number
when a chemo medication is administered but fails to communicate this to the nurse responsible
for the medication administration documentation. What is a consequence of this action? correct
answers Pharmacy cannot determine if there is a problem with a medication batch.
, 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making
it difficult to know where to document some items. As a result, the nurse uses the notes instead
or in addition to documenting in a specific field in the health record. What is the least significant
impact of this action? correct answers Duplicate documentation appears multiple times in the
chart.
1. A nurse is working in a medical-surgical unit assigned care for five patients. The nurse has
many tasks to accomplish during a shift. Which informatics solution assists in ensuring these
tasks are accomplished? correct answers Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? correct
answers Financial
1. A project team is moving a hospital from using paper charting to using an electronic health
record for documentation. How should the project team roll out the software to reduce the impact
on the hospital? correct answers A large stand-alone department should go live first.
1. While reviewing electronic nursing documentation, a nurse identifies that a patient's vital signs
have declined since the previous shift. Which health information system assisted in this
identification? correct answers Electronic health record (EHR)
1. The nurse manager of an outpatient laboratory clinic is investigating decreased patient
satisfaction scores and cited delays in receiving lab results. The first step is to review testing
turnaround times for the clinic. Which health information system (HIS) should the nurse
manager review for this data? correct answers Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? correct answers
Alerts regarding allergies and interactions
1. Standardized terminology was implemented to promote interoperability across electronic
health records (EHRs). Which terminology is specific to laboratory tests, orders, and results?
correct answers LOINC